title: Pericarditis, thymic hyperplasia, and Graves' thyrotoxicosis: case report and review of the literature.
abstract: Graves' thyrotoxicosis with thymic hyperplasia and pericarditis has never been described in the literature. In this case report, we present the clinical, laboratory, and radiographic findings of a 24-year-old active duty male who was admitted for management of nonexertional, positional, pleuritic chest pain. Electrocardiography confirmed pericarditis as the presenting diagnosis. Laboratory findings revealed an undetectable serum thyrotropin level and further evaluation with a contrast chest computed tomography confirmed the presence of a goiter and an anterior mediastinal mass. The patient's pericarditis and thymic hyperplasia resolved with treatment of his Graves' disease.
authors.affiliation: Department of Internal Medicine, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134, USA.
authors.forename: Peter S
authors.initials: PS
authors.lastname: Airel
authors.forename: Michael B
authors.initials: MB
authors.lastname: Steele
authors.forename: Andrew H
authors.initials: AH
authors.lastname: Lin
authors.forename: Daniel F
authors.initials: DF
authors.lastname: Seidensticker
authors.forename: Alfred F
authors.initials: AF
authors.lastname: Shwayhat
mesh_terms: D000328:Adult; D002637:Chest Pain / Q000209:etiology; D005094:Exophthalmos / Q000209:etiology; D006111:Graves Disease / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D008889:Military Personnel; D010493:Pericarditis / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D013952:Thymus Hyperplasia / Q000000981:diagnostic imaging / Q000209:etiology*; D014463:Ultrasonography; D014481:United States; D055815:Young Adult